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Another New Type 2 !

Discussion in 'Newly Diagnosed' started by Dave14, Sep 2, 2015.

  1. Dave14

    Dave14 Type 2 · Member

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    I have posted elsewhere on this site, but apologise if it was the wrong string.

    I have been diagnosed recently with Type 2 Diabetes and I have noted the low carb recommendations on this site. I had been using the MyFitnessPal app for about 3 months to lose some weight, before I was diagnosed. In that time I had lost just over a stone. Great!

    Within the app, nutritional values are given and I have found these most useful in finding low calorie/carb/sugar etc foods for my Type 2.

    I would like to continue with MyFitnessPal, so can anyone give me an approximate, recommended daily intake for carbs, sugar etc please.

    I am 70 years old and unable to do much walking and consequently my recommended calorie level is 1600 per day. I have found this to be sufficient and quite easily achievable. I have attended a local "Type 2 Get Together" clinic which was quite helpful, but no targets were mentioned.

    I should be most grateful for any guidance received.
     
  2. Dave14

    Dave14 Type 2 · Member

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    Thank you SweeLucie for your help and advice. I will try to add a few more facts in the hope that you and others are able to assist further ...

    My original weight target was to lose about 1.5 - 2 stone at the rate of 1lb a week, and in the last month I have been more aware of carbs, sugar etc as being very relevant to Type 2.

    My starvation BS was 8.9 when diagnosed but I do not know my Hba1c yet. After a month my BS is now 8.2, rising to 8.5 after breakfast. I have only self tested once by meter to obtain these initial readings. I am not on any medication other than Statins to lower my cholesterol from 5.2 to 3.9. At present, my GP suggests lowering my BS by diet and only taking medication if required in the longer term.
     
  3. Dave14

    Dave14 Type 2 · Member

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    Thanks SweetLucie. I look forward to further feedback.
     
  4. ButtterflyLady

    ButtterflyLady Type 2 · Well-Known Member

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    Hi @Dave14 and welcome to the forum.

    I will tag @daisy1 as she has some info for people new to the forum that she can post for you.
     
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  5. daisy1

    daisy1 Type 2 · Legend
    Retired Moderator

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    @Dave14

    Hello Dave and welcome to the forum :) As mentioned above, here is the information we give to new members and I hope you will find it useful. Ask as many questions as you need to and someone will help.


    BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you’ll find over 150,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.
    There are two approaches to controlling your carbs:

    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates

    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    Another option is to replace ‘white carbohydrates’ (such as white bread, white rice, white flour etc) with whole grain varieties. The idea behind having whole grain varieties is that the carbohydrates get broken down slower than the white varieties –and these are said to have a lower glycaemic index.
    http://www.diabetes.co.uk/food/diabetes-and-whole-grains.html

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to bloodglucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic

    Note: This post has been edited from Sue/Ken's post to include up to date information.
     
  6. Sirmione

    Sirmione Type 2 · Well-Known Member

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    You are obviously working very hard on your diet but personally I wouldn't feel comfortable with readings in the 8's but having said that unlike most of us you are not on meds which has to be good. If I were in our position I would be more concerned with cutting carbs than calories.
     
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  7. Dave14

    Dave14 Type 2 · Member

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    Thank you Simione. I am more concerned about carbs than calories since being diagnosed, but I cannot get advice on target levels. Should it be 50, 100, 150, 200 grams? My fasting BG was 8.0 this morning, so it is going in the right direction!
     
  8. Dave14

    Dave14 Type 2 · Member

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    Thanks CatLadyNZ and daisy1. I have found the advice on this forum most useful, and I welcome all the help that I can get!
     
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  9. Gezzabelle

    Gezzabelle Prediabetes · Well-Known Member

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    If you test more often you will see which foods spike your bg ad can omit them or cut them down. You might find the LCHF diet a help...(Low Carb High Fat )

    http://www.dietdoctor.com/lchf

    Read food labels as you could be missing how high they are on carbs. A lot aim to cut them right down but you will find a comfortable level in time. Have a good look round the forum ...the recipe and diet sections have a lot of good ideas and advice ...then come back with any questions :)
     
  10. ButtterflyLady

    ButtterflyLady Type 2 · Well-Known Member

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    It's an individual decision based on what you can live with. I sat down and worked out a rough daily eating plan that I could live with, counted the carbs and it came to 100-150g a day. In practice I eat more towards 100g a day. I've seen others here who are eating about the same amount and getting good results. I used to eat 400g+ of carbs a day. I have a lot of weight to lose and will hit a plateau, so when that happens will try to reduce further - perhaps to 70g or 50g a day. I really don't want to be on 20g a day but many here can do it - good luck to them :)
     
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  11. Dave14

    Dave14 Type 2 · Member

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    Thank you for the tips. I feel much more confident now, especially as my BG was down to 6.5 before breakfast this morning - very surprised! I am sure that that I shall have more questions, and I will definitely take up your kind offer. David.
     
  12. Dave14

    Dave14 Type 2 · Member

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    Thank you for the guidelines CatLadyNZ.
    I have found that my Carbs for the past 3 months have averaged out at about 110gm per day (high 216 - J2o largely responsible), Fat 25gm (high 88) and Sugars 50gm (high 106 - scone largely responsible). That's two things to avoid + similar foods! My BG was down from 8.9 a month ago to 6.5 this morning; my weight has gone down more than a stone, at my target of 1lb / week, in the same period, so I think the MyFitnessPal app is definitely working for me at present. Thanks again for your help, Dave.
     
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  13. Dave14

    Dave14 Type 2 · Member

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    Not sure why I got a family face, it should read " Fat (high 88gm) ..."
     
  14. Dave14

    Dave14 Type 2 · Member

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    Thanks for your help in getting me started and for your encouragement SweetLucie. Sorry to see you go.

    Dave
     
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  15. Xan2cv

    Xan2cv Type 2 · Member

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    My GP told me that the Nice figures don't take into consideration body size body weight and activity levels.
    its very much like you being 6ft 7 ins tall and having slightly high blood pressure because you are tall not
    because you have a medical condition. everybody's body is different and for Nice to slap a statistical view on everyone with different metabolisms and body shapes and sizes is just wrong. a lot of people suffer with elevated sugars in the mornings but will find that their sugars drop to normal levels once they get going, it is not always possible to get these morning highs down to Nice Levels.
     
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